Hi John,

I'm sorry to hear you're having a rough time. Losing 20 pounds in a year by mistake is not a sign of good health, that's for sure. And 173 pounds on a man of your height definitely sounds like too little.

Loss of appetite is a common symptom of depression, but I'm not sure if it is a common side effect of depression medicine, since I have no idea what you are taking. Also, you don't say how well your depression medicines are controlling your depression symptoms.

Loss of appetite is also a common symptom of COPD. The reason for that is that it takes tremendous reserves of energy just to fix meals, to eat them, and also to digest them, when you have COPD. That can be tremendously off-putting when mealtimes roll around. Chances are too, that if you have COPD, your activity level has decreased. And that will reduce your appetite as well, since your body doesn't need as many calories to keep going.

However, it's not wise to continue on this course, no matter the reasons. So I would definitely advise you to talk with your doctor about what is going on. There are many things that might be tried to help you regain and maintain your body weight. Taking a daily multivitamin is something you could start doing right away. So is eating several small meals a day. You might find the prospect of a snack-sized meal is easier to consider than a full-sized meal.

If your depression is not adequately controlled, your doctor might be able to prescribe something different that will work better than the medicine you are currently taking. Your doctor might also advise you to take a nutritional supplement like Ensure.

So, please talk with your doctor as soon as you can and get on the road to a better weight!

To your health,

Kathi

tailspin37

9/28/09 3:40pm

Dear Kathi:

    Thank you so much for your helpful answer to my question.

For my depression, I take 40mg of Paxil daily at bedtime.  I have an

appointment with my Psyche., coming up in a week, and I will

discuss this with her.  I do take a Centrum daily, and also

Caltrate.  But, I am inclined to believe that the Paxil might have

to be changed to another drug. 

    I am hanging in there though, and try not to let things

get me down.  

   Thanks again,

John

Kathi MacNaughton

9/28/09 4:28pm

I'm very glad I could help in some small way, John. And glad to hear you're taking action. Hopefully, your doctor will get you on the right track again. Keep in touch, OK?

 

Best,

Kathi